NPIMap

Organization Active NPI

Robert L. Wilson DDS, P.a.

  • Dentist
  • Heber Springs, AR
National Provider Identifier
1396958773
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3165 Issued in AR
Legal business name
ROBERT L. WILSON DDS, P.A.
Practice address
708 W Quitman St
Heber Springs, AR 72543-3752
Phone
(501) 362-5897
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert Lawrence Wilson, DDSNPI 1902812852
Title
President
Phone
(501) 362-5897

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3165 AR Primary

Addresses

Primary practice location

708 W Quitman St
Heber Springs, AR 72543-3752

Mailing address

708 W Quitman St
Heber Springs, AR 72543-3752
Phone (501) 362-5897

National Provider Directory

National Provider Directory

Locations

708 W Quitman St
Heber Springs, AR 72543
Phone (501) 362-5897

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1396958773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 W QUITMAN ST",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725433752",
            "telephone_number": "501-362-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 W QUITMAN ST",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725433752",
            "telephone_number": "501-362-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L. WILSON DDS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-362-5897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AR",
            "license": "3165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.